Provider Demographics
NPI:1770821431
Name:LOEBEL, ANTONY DAVID (MD)
Entity Type:Individual
Prefix:
First Name:ANTONY
Middle Name:DAVID
Last Name:LOEBEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 HARRISON DR
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2531
Mailing Address - Country:US
Mailing Address - Phone:914-833-1493
Mailing Address - Fax:
Practice Address - Street 1:36 HARRISON DR
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2531
Practice Address - Country:US
Practice Address - Phone:914-833-1493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1782972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry